Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Comprehensive Dermatology PA

Organization Dermatology Physician · NPI 1194103812

Brandon Comprehensive Dermatology PA is a Dermatology Physician in Brandon, Florida. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

116 S Montclair Ave
Brandon, FL 33511-5322
Phone: (813) 685-7714
Fax: (813) 685-0113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS7746

Record details

NPI number1194103812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Malane — Doctor · (813) 685-7714
NPI enumeratedMay 14, 2015
Last updated in NPPESJuly 7, 2015
Mailing address116 S Montclair Ave, Brandon, FL 33511-5322

Other providers in Brandon